Effect of an integrated nutrition-math curriculum to improve food-purchasing behavior of children

综合营养数学课程对改善儿童食品购买行为的影响

基本信息

批准号：
10442749
负责人：
Olajide Williams
金额：
$ 61.64万
依托单位：
COLUMBIA UNIVERSITY HEALTH SCIENCES
依托单位国家：
美国
项目类别：
财政年份：
2018
资助国家：
美国
起止时间：
2018-09-24 至 2024-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10442749
关键词：
5 year old Abbreviations Acute Affect Affective Age Arts Awareness Behavior Behavior Therapy Behavioral Body mass index California Calories Cardiovascular system Centers for Disease Control and Prevention (U.S.)Child Child Behavior Cognitive Common Core Community Mental Health Centers Conceptions Conflict (Psychology)Consumption Cues Data Dimensions Dose Economically Deprived Population Economics Educational Curriculum Educational process of instructing Evaluation Fatty acid glycerol esters Food Food Services Foundations Health Healthy Eating Hip region structure Hour Institute of Medicine (U.S.)Instruction Intervention Knowledge Language Laws Los Angeles Low Literacy Population Low income Mathematics Mathematics Curriculum Measures Mediating Metabolic Mind Minority Groups Multimedia Music Names New York City Outcome Outcome Measure Parents Pilot Projects Policies Population Procedures Provider Randomized Randomized Controlled Trials Recommendation Restaurants Risk Sales Schools Self Efficacy Site Sports Standardization Statutes and Laws Terminology Testing Vendor Waiting Lists Weight Weight Gain Youth after-school program aged base behavioral outcome design dietary efficacy testing evidence base fast food fifth grade food consumption food quality fourth grade improved innovation insight instrument intervention effect literacy novel nutrition nutrition education obesity in children obesogenic overweight child poor communities post intervention primary outcome programs school health skills sugar support tools theories therapy design transmission process treatment arm trend

项目摘要

PROJECT SUMMARY Project Title: Effect of an integrated nutrition-math curriculum to improve food-purchasing behavior of children. Data show that nearly 25% of children aged four to eight years consumed fast food on a typical day. These trends in fast food consumption are more acute among low-income urban dwellers where higher rates of overweight and childhood obesity are seen. This has led to a focus on providing fast food consumers with point-of-purchase nutrition information, such as the calorie posting mandates, in the hopes that these decision cues will help consumers make better informed dietary decisions. These efforts began in New York City in 2008 and spread to California by 2009 before being finally incorporated into federal law. But even prior to the federal roll out, local studies regarding their influence on purchasing behavior were conflicting. Moreover, studies revealed an even lower yield on behavior among low-income obesogenic populations. Barriers to the use of calorie postings not only include economic, affective and behavioral dimensions but also cognitive dimensions related to low literacy and poor numerical skills, especially among low literacy populations and the youth. Indeed studies evaluating the effect of calorie postings on parental purchases for children found no difference before and after calorie-posting legislation despite parents noticing the calorie postings. Most children chose their own meals at the point-of-purchase, and continued to choose the same items before and after legislation. It is clear that additional strategies are needed to encourage the point-of-purchase use of calorie postings, however available studies provide little insight into best practices or the types of approaches needed. It is with this in mind that we developed a school-based approach to improve point-of-purchase use of calorie postings, by creating a novel intervention that targets menu board calorie literacy as a means of improving food-purchasing behaviors. We have named this program, “Hip Hop HEALS” (Healthy Eating And Living in Schools; HHH). HHH is a novel behaviorally focused multimedia, musical school health rap toolkit that targets what we refer to as menu board calorie literacy. We have integrated 4th grade common core math standards into our HHH program in a manner that incorporates evidence-based nutrition education recommendations by the Institute of Medicine and the CDC. We propose to test the efficacy of our integrative approach on food purchasing behaviors of children in an adequately powered, controlled trial. We will test the intervention in the after-school setting among economically disadvantaged children and incorporate parental engagement in our outcome evaluations. We have partnered with New York City's largest after-school program vendor, Sports and Arts in Schools foundation, for the implementation of this study. After-school sites will be randomly assigned to either the intervention arm or a wait-list control.

项目概要项目名称：综合营养数学课程对改善儿童食品购买行为的影响。数据显示，近 25% 的 4 至 8 岁儿童每天都会吃快餐。低收入城市居民的快餐消费趋势更为严重，因为他们的快餐消费比例较高超重和儿童肥胖已成为人们关注的焦点，为快餐消费者提供营养。购买点的营养信息，例如卡路里张贴要求，希望这些决定这些线索将帮助消费者做出更明智的饮食决定。这些努力始于纽约市。 2008 年，并于 2009 年传播到加利福尼亚州，最终被纳入联邦法律，但甚至早于该法案。联邦推出后，当地关于它们对购买行为影响的研究是相互矛盾的。研究表明，低收入人群的肥胖行为发生率更低。卡路里发布的使用不仅包括经济、情感和行为维度，还包括认知维度与识字率低和数字技能差有关的维度，特别是在识字率低的人群和事实上，有研究评估了卡路里含量对父母为儿童购买商品的影响，但没有发现这一点。尽管父母注意到了卡路里发布，但卡路里发布立法之前和之后还是存在差异。孩子们在购买点自己选择餐食，并且在购买前和购买前继续选择相同的商品显然，在立法之后还需要采取额外的策略来鼓励购买点的使用。卡路里发布，但是现有的研究几乎没有提供有关最佳实践或方法类型的见解正是考虑到这一点，我们开发了一种基于学校的方法来改善购买点的使用。卡路里张贴，通过创建一种新颖的干预措施，针对菜单板卡路里知识作为一种手段我们将这个计划命名为“Hip Hop HEALS”（健康饮食和）。 Living in Schools；HHH）是一个新颖的以行为为中心的多媒体、音乐学校健康说唱工具包。我们整合了四年级的共同核心数学。以纳入循证营养教育的方式将标准纳入我们的 HHH 计划我们建议测试我们的综合疗效。我们将在一项充分有力的对照试验中测试儿童食品购买行为的方法。对经济弱势儿童的课后环境进行干预以及家长的参与我们与纽约市最大的课外项目合作。学校体育和艺术基金会将负责实施这项研究。随机分配到干预组或等待名单控制组。